NCT04679025

Quality Gaps in Screening and Monitoring for Postoperative Hyperglycemia in a Canadian Hospital

Quality Gaps in Screening and Monitoring for Postoperative Hyperglycemia in a Canadian Hospital: A Cross-sectional, Exploratory Study

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 7,633 (actual)
• Sponsor: University of Calgary · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

Patients with and without diabetes who have postoperative hyperglycemia have worse outcomes than patients with in-target blood sugars. Previous quality improvement work suggests numerous barriers and clinical inertia may contribute to quality gaps in glycemic management for surgical patients. Using a framework for perioperative glycemic management, we sought to measure quality gaps in perioperative glycemic care. This cross-sectional study used administrative data to measure the proportion of surgical patients with and without known diabetes who underwent preoperative hemoglobin A1c measurement, postoperative point-of-care testing for glucose (POCT), had hyperglycemia, and received basal bolus insulin regimens for treatment. We performed an exploratory analysis comparing length of stay (LOS) in patients with and without diabetes who had and did not have postoperative hyperglycemia.

Conditions

• Diabetes Mellitus
• Surgery
• Hyperglycemia

Interventions

Type	Name	Description
OTHER	Exposure - postoperative hyperglycemia	Postoperative hyperglycemia (blood or capillary glucose \> 10.0 mmol/L) within 72 hours of a surgical procedure

Timeline

• Start date: 2019-04-01
• Primary completion: 2020-03-31
• Completion: 2020-03-31
• First posted: 2020-12-22
• Last updated: 2020-12-22

Locations

1 site across 1 country: Canada